Individual
DR. ROBERT MATHEW BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
155 E COURTLAND ST, MORTON, IL 61550-8931
(309) 263-6747
(309) 263-6744
Mailing address
6135 S GREENWOOD AVE APT 3S, CHICAGO, IL 60637-2721
(203) 687-6531
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002632
CT
152W00000X
Optometrist
046010410
IL
Other
Enumeration date
08/02/2006
Last updated
08/10/2011
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